Individual
COLLETTE AZURE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8151 E PALMER WASILLA HWY, PALMER, AK 99645-8468
(907) 561-3211
(907) 561-4652
Mailing address
8151 E PALMER WASILLA HWY, PALMER, AK 99645-8468
(907) 561-3211
(907) 561-4652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
178783
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178783
PHARMACIST LICENSE NUMBER THROUGH STATE OF ALASKA BOARD OF PHARMACY
AK
Enumeration date
08/16/2022
Last updated
08/16/2022
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